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FOGSI Dr. D.K. Tank RCH Trophy
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FOGSI DR.D.K.TANK REPRODUCTIVE HEALTH CARE PROMOTION TROPHY PROFORMAT

Period From 1.1.2009 To 31.12.2009
GENERAL INFORMATION      
1. Name of the Society :    
2. Postal Address of the Society :    
3. Year of Inception :    
4. Membership of Society : Life Members :
    Patron Members :
    Ordinary Members :
    Associate Members :
    Total  
ACTIVITIES OF THE SOCIETY (SPECIAL) : (Total Marks 150)  
1. Number of health camps conducted in the year. : (20 marks)  
2. Public Awareness Programme. : (20 marks)  
  1. Articles in Lay Press
  2. T.V.Programme
  3. Radio Programme
  4. Public Talk
      
3. Number of patient Education Material Prepared. : (20 marks)  
  1. Pamphlets
  2. Posters
  3. Books
  4. Any other
      
4. Number of Baby Friendly Hospitals : (20 marks)  
5. Programs to Promote Lactation. : (20 marks)  
6 .CME Programme for Paramedicals / Nurses. : (20 marks)  
7. Evaluation - Impact / Effectiveness / Results. : (20 marks)  
8. Difficult areas convered : i.e. tribal areas : (10 marks)  
Inaccessible, Backward areas.      
GENERAL : (50 marks)  
  1. Details of involvement in Urban or Rural Community activities within and outside the jurisdiction of the society.
  2. Refresher Courses / Training Courses / Workshops related with Reproductive Health Care and Breast Feeding Promotion.
  3. Correspondence and submission of periodic reports to the FOGSI Office.
  4. Any other relevant activity.
  5. Whether Dr.Nadkarni Trophy has been won before.
 : (10 marks each)  
HOW THEY HAVE CELEBRTED FOGSI DAYS : (50 marks)  
       
 
Signature of President Signature of Secretary
Evaluation remarks by FOGSI Office      
Total Marks      ----------------------------------------------------------------------------------------------------- 250

Uploaded in February 2010

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